Healthcare Provider Details

I. General information

NPI: 1881635126
Provider Name (Legal Business Name): JENIFFER TORRES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 12/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 BROOKE ST BLDG 228 FORT BUCHANAN
FORT BUCHANAN PR
00934-4206
US

IV. Provider business mailing address

CIUDAD JARDIN I BUZON 6 ,CALLE GUAYACAN
CANOVANAS PR
00729
US

V. Phone/Fax

Practice location:
  • Phone: 787-707-3710
  • Fax: 787-707-2770
Mailing address:
  • Phone: 787-636-9359
  • Fax: 787-751-9119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6093
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: